My wife just was informed that she will be on permanent disability from CalStrs. She has Young Onset Parkinson’s.

***We’re sorry to hear that. We wish the best for her.

She is 54 years old. Her payments will start on Sept 15th.

Is she eligible for Medicare?

She worked for close to 10 years in something outside of teaching so she must have close to the 40 quarters and also she paid into Medicare in each of her checks as a teacher.

***This is all quite complex… Here’s the page on Social Security’s website about how many quarters you actually need. Check our webpage on Social Security Disability and we’ve linked to attorney’s that can help you sort through this confusion. Please also visit your local CalSTRS office. Here’s their office locator.

If you are not getting employer paid medical coverage and want to check out the individual & family market, including ObamaCare Subsidies, click here.

Try this Medicare eligibility calculator.

It is difficult to figure all this out. We have heard that she will be eligible for Medicare after two years of being “officially disabled.” We have heard that she would be eligible for Medicare if she was eligible for Social Security disability.

***Yes, that is correct, if one qualifies for Social Security Disability.

Social Security Disability Benefits Publication # 10029

Our Webpage on Social Security Disability – I don’t see that you have anything to lose by applying. If you do get benefits, they would offset what you are getting from STRS per page 7 of the STRS manual.

The Question in your situation, is can she get both Medicare and CalSTRS disability?

***Appears to be yes, as there is an offset – reduction see citation above. What medical coverage does she have now?

She went on Medical leave on Feb 1st.

We want to stick with the CalStrs disability payments since they are larger.

***That’s fine, it’s just an offset.

James M

Disability Publications, Resources & Links

Understanding Supplemental Security Income SSI For Children– 2019 Edition

Western Poverty Law Center – Coverage for Low Income California’s DAC Program Page 84 – Non Magi Medi-Cal 3.71

Our webpage on SSI & Medi Cal 

ObamaCare – Mental Health – One of 10 Essential Benefits

New Jersey 2 page explanation

ssa.gov Section 1634

Social Security Disability Planner: Benefits for A Disabled Child

Pickle Amendment Screening Q & A

 

Social Security Publications relating to Disability, SSI, SSDI

What you need to know to get Social Secuirty Disabiltiy Benefits # 10153

Disability Benefits # 10029

Reviewing your Disability Publication # 10068

How Social Security decides if you are still disabled # 10053

Check list for what’s needed on the application 001

Appeals Process 10041

Medicare # 10043

Supplemental Security Income # 11125

CA State Supplementary Payment (SSI/SSP) 

Benefits for Children with Disabilities #10026

Benefits for Children # 10085

How to get a benefit verification letter # 10552

The Red Book – Employment Support for SSDI and SSI

Working while disabled 10095

Ticket to Work Program

How International Agreements can help you # 10180

Social Security for Foreign Governments # 10566

MORE Social Security Publications on their website

 

FAQ’s

  1. What must I do to Qualify?
    1. Must be total & permanent disability
  2. What is Social Security’s eligibility process
  3. Where is Social Security’s home page for disability
  4. Can I get a Disability “Starter Kit?
  5. Tell me more about the Ticket to Work Program which gives you more choice in obtaining the services one needs to be able to go back to work and achieve your employment goals.
  6. Where can I get more disability information?
  7. Can I get an estimate of my retirement benefits? Sample Calculation
  1. Nolo.com Disability Benefits

 

Medicare Coverage

 

 

 

 

Free Advise.com

Social Security disability

 

Medicare and You 2020 #10050  
Everything you want to know 

Medicare and you

Different Parts of Medicare 

A = Hospital
B = Doctor Visits – Out Patient
C = Medicare Advantage or Medi Gap
D = Part D Rx

Video

Understanding your Medicare Choices
Medi Gap vs Medicare Advantage

Topics

How to sign up for Parts A & B
Is  your test, service, or item covered?
Original Medicare Parts A & B
Medicare Advantage Plans & Part D Rx
Supplement Insurance (Medigap)
Low Income Help  LIS
Definitions


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Attorney’s that can help you through the Social Security Disability maze

California Social Security Attorney.org/

Daniel Hantman, Esq.

Helene Hoffman Esq

Elkind & Shea (Maryland and a few other East Coast States) 

CA State Bar Attorney Referral Service  

Legal Match.com 

Sellers Law  

Hill & Ponton  

2 comments on “Medicare Eligibility? Web Visitor Q & A

  1. My wife is a paraplegic and was on SoonerCare, she has Medicare disability and Medicaid disability, she got a form from social security saying do you want Part B Dr. Visits coverage as of February 1st, she returned the form and told them no, but someway she got put in some company for part D Prescriptions, she didn’t sign with any company and didn’t want plan D coverage, so now Sooner Care tells her she has no drug coverage with them, and Sooner care is so much better than private coverage,

    how could she have been put on a private insurers plan for D coverage when she knew nothing about it?

    She has not been able to even find out which company she fraudulently got enrolled in.

    How can something like this happen and what can she do to correct this and get her drug coverage back from Sooner Care?

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